Individual provider Active NPI

Samantha Christine Shelton

  • Speech-Language Pathologist
  • Broomfield, CO
National Provider Identifier
1053921189
Registry record updated Aug 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP.003974 Issued in CO
Practice address
3305 W 144TH Ave Unit 200
Broomfield, CO 80023-9483
Phone
(303) 284-6569
NPI assigned
Aug 4, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 4, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SLP.003974 CO Primary

Addresses

Primary practice location

3305 W 144TH Ave Unit 200
Broomfield, CO 80023-9483

Mailing address

1460 Little Raven St Unit 2-118
Denver, CO 80202-1764
Phone (302) 332-2046

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address samanthasslp@childrenmatterco.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
SLP.003974COMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Voice Finders Speech Therapy Current Accepting new patients
Children Matter LLC CurrentSince May 22, 2022 Accepting new patients
Children Matter, LLC Speech-Language Pathologist CurrentSince Jan 31, 2021 Accepting new patients

Locations

3305 W 144th Ave
Unit 200
Broomfield, CO 80023
Phone (303) 284-6569

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1596499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596499200000",
    "number": "1053921189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1460 LITTLE RAVEN ST UNIT 2-118",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802021764",
            "telephone_number": "302-332-2046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3305 W 144TH AVE UNIT 200",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800239483",
            "telephone_number": "303-284-6569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHELTON",
        "first_name": "SAMANTHA",
        "middle_name": "CHRISTINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-04",
        "last_updated": "2020-08-04",
        "certification_date": "2020-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CO",
            "license": "SLP.003974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "samanthasslp@childrenmatterco.com",
            "affiliation": "N",
            "endpointDescription": "Luxsci email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Luxsci email",
            "address_1": "3305 W 144th Ave Unit 200",
            "city": "Broomfield",
            "state": "CO",
            "country_code": "US",
            "postal_code": "800239483",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Broomfield, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.